MR. JACK MICHAEL PENRY LCSW
NPI 1386651677
Social Worker - Clinical in Little Rock, AR

Active since August 01, 2006
4300 W 7TH ST, ATTN: 122LR, LITTLE ROCK, AR 72205(501) 257-6734(501) 257-5071 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Jack Michael Penry Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK MICHAEL PENRY LCSW (NPI 1386651677) is an individual clinical provider in Little Rock, Arkansas, licensed in Arkansas (C 213) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1386651677
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACK MICHAEL PENRYCredential: LCSW
Location Address4300 W 7TH ST, ATTN: 122LRLittle Rock, AR 72205-5446
Mailing Address4300 W 7th St, Attn: 122lrLittle Rock, AR 72205-5446 · (501) 257-6734 · Fax (501) 257-5071
Fax(501) 257-5071
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1386651677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in AR · C 213
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4300 W 7TH ST, Little Rock, AR 72205

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Pathology (Medical Laboratory)
4300 W 7TH ST
LITTLE ROCK, AR 72205
Respiratory Therapist, Registered
4300 W 7TH ST
LITTLE ROCK, AR 72205
Respiratory Therapist, Registered
4300 W 7TH ST
LITTLE ROCK, AR 72205
Internal Medicine
4300 W 7TH ST, MAILSTOP 11C/LR
LITTLE ROCK, AR 72205
Family Medicine
4300 W 7TH ST
LITTLE ROCK, AR 72205
Pharmacist
4300 W 7TH ST
LITTLE ROCK, AR 72205
Pharmacist
4300 W 7TH ST
LITTLE ROCK, AR 72205
Dietitian, Registered
4300 W 7TH ST
LITTLE ROCK, AR 72205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Penry's NPI number?

The NPI number for Jack Penry is 1386651677. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Jack Penry located?

Jack Penry practices at 4300 W 7th St Attn: 122lr, Little Rock, AR 72205. The listed phone number is (501) 257-6734.

What is Jack Penry's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jack Penry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.